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LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

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Company Details

Legal Name: LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Withdrawn
Formation/ Registration Date: April 25th 2016
Date of Dissolution: December 23rd 2020
Expiration date: 30 Apr 2021
UBI Number: 603 612 232
ZIP code: 98684
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11820 NE CRESTWOOD DR, VANCOUVER, WA, 98684-5102, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 206 E OCEAN AVE, LOMPOC, CA, 93436-6825, UNITED STATES

Contact Details

E-Mail: JLINSNER@LAGSMEDICAL.COM
Phone Number: +1 805-928-7361

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
FRANCIS LAGATTUTA Registered Agent 11820 NE CRESTWOOD DR., SUITE 101, VANCOUVER, WA, 98660, UNITED STATES

Key Officers & Management

Name Role Address
FRANCIS LAGATTUTA Governing Person 135 CARMEN LN, SANTA MARIA, CA, 93458, UNITED STATES

National Provider Identifier

NPI Number:
1487122339

Authorized Person:

Name:
AMY DAMATO
Role:
CONTRACTS DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

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